MANUAL FOR GRADUATE STUDENTS in SPEECH-LANGUAGE PATHOLOGY SEPTEMBER 2014 Prepared by The Faculty Department of Communicative Disorders The University of Rhode Island Revised 8/10 Table of Contents SUBJECT SECTION PAGE Introduction Religious Observances Origins & Scope of Graduate Programs in CMD Graduate School Admissions Eligibility for Enrollment in Graduate Courses Candidates for Admission to Graduate Programs Undergraduate Requirements Acceptance Criteria for Admission Pre-requisite Courses for Admission Faculty Advisor Assignment and Orientation Location of Faculty Independence Square Floor Plan Fernwood Building Floor Plan Degree Requirements & Program of Study Master of Science in Speech-Language Pathology: Thesis Master of Science in Speech-Language Pathology: Non-Thesis Accelerated Program Non-Thesis Options Transfer of Credits, Policy for Acceptance Program Length, Explanation of Time Limits, Full-time and Part-time Students Eligibility for Commencement Planning Total Program Advisor Meetings Two-Year Course Sequence in Speech-Language Pathology Two, Three, and Four-Year Course Planning Guides in Speech Path. Required & Elective Courses in Speech Pathology Planning Courses for Each Semester Program of Study Sequenced Program of Study Knowledge and Skills Assessment (KASA) Explanation of KASA Procedure Flow Chart of KASA Procedure Observation and Clinical Practicum Transfer of Clinical Hours Undergraduate Clinic Hours Graduate Clinic Hours Observation Hours Clinical Clock Hours 1.0 1.01 2.0 3.0 3.10 3.20 3.21 3.22 3.23 3.24 3.25 3.25.1 3.25.2 4.0 4.01 4.02 4.03 4.10 4.20 4.30 4.31 4.32 4.40 4.41 4.31.1 4.31.2 4.42 4.50 4.60 4.61 4.70 4.71 4.72 5.0 5.01 5.01.1 5.01.2 5.02 5.03 4 4 5 6 6 6 6 6 6 7 7 8 9 10 10 10 10 11 12 12 12 13 13 14 15-16 17-19 20 21 21 22 23 23-24 25 26 26 26 26 26 26 2 On Campus Clinic - Speech and Hearing Center Off Campus Placement Sites Clinic Policies and Procedures Ethical Responsibility/HIPAA Professional Responsibility Clinic Schedule Clinic Registration Testing Therapy and Observation Rooms Diagnostic and Therapy Materials Client Files Release Forms Client Parking Absences - Client/Clinician Client Reports Client/Clinician Scheduling Student Observers Student Evaluations Supervisor Evaluations Clinic Fees Certification and Licensure State Department of Education Certification Teacher Certification in Other States Provisional Licensure by Dept. of Health in Rhode Island Permanent Licensure by RI State Dept. of Health Certificate of Clinical Competence by ASHA ASHA National Exam for CCC in Speech Pathology (Praxis) CFY Year in Speech-Language Pathology Evaluation of Student Progress and Ethics Criteria for Student Review Academic Review Clinical Review Student Review of Program and Feedback Recommendations in Writing to Student Graduate School and Professional Ethics Standards Academic Integrity Confidentiality of Clients and Professional Behavior Code of Ethics of ASHA Professional Organizations and Other Matters Rhode Island Student Speech-Language-Hearing Assn. National Student Speech-Language-Hearing Assn. Rhode Island Speech-Language-Hearing Assn. KASA Form Speech-Language Pathology Essential Functions of a Speech-Language Pathology Education Clinic Materials Inventory 3 5.04 5.05 5.06 5.06.1 5.06.2 5.06.3 5.06.4 5.06.5 5.06.6 5.06.7 5.06.8 5.06.9 5.06.10 5.06.11 5.06.12 5.06.13 5.06.14 5.06.15 5.06.16 6.0 6.1 6.11 6.2 6.3 6.4 6.41 6.42 7.0 7.10 7.20 7.30 7.40 7.50 7.60 7.70 7.80 7.90 8.0 8.1 8.2 8.3 App. A App. B App. C 29 31-34 34 35 35 35 36 36 36 37 37 37 37 38 38 39 39 40 40 41 41 41 41 41 42 42 42 43 43 43 43 43 44 44 44 44 45-48 49 49 49 49 50-55 56-59 60 SECTION 1.0 INTRODUCTION Revised 8/13 This Manual presents specific information relevant to a graduate student's progress through a course of academic study and clinical practicum leading to the M.S. Speech-Language Pathology degree in the Department of Communicative Disorders at the University of Rhode Island and includes further information concerning procedures for achieving professional licensure and certification by ASHA and the State Department of Education. This manual is updated each year. Each student is responsible for knowing the policies and regulations presented in this manual and encouraged to discuss any questions or reservations concerning items with an advisor, the department ‘s Chairperson, Dr. Dana Kovarsky, or the Graduate Program Coordinator, Dr. Amy Weiss. Important additional information is to be found in the URI Graduate Student Manual available for review on the URI Graduate School website (See www.uri.edu/gsadmis/graduate_manual/index.html). It covers such topics as the Academic Appeals Board, Tuition Scholarships and Other Financial Aid, policies re: Plagiarism, the University Library, Protection of Human Subjects, and Withdrawal from Graduate Study. Relevant deadlines and information about the Graduate School’s academic schedule can be found at: http://www.uri.edu/gsadmis/documents/deadline_calendar_2014-2015.pdf. It is recommended that students “bookmark” these web pages to expedite access to this information. In addition to the competencies delineated in the Knowledge and Skills Assessment (KASA) requirements, all students must meet the related competencies listed in the “Essential Functions of a Speech-Language Pathology Education” document that can be found in Appendix B of this manual. Students will be introduced to the “Essential Functions” document during their first orientation meeting. These functions will be discussed as a necessary enumeration of the program’s professional doctrine that all students are expected to meet within all academic and clinical work without exception. Failure to do so can lead to dismissal from the graduate program. To demonstrate the importance of this document, students will be asked to follow their careful reading of the document by signing an agreement to demonstrate recognition that these standards will govern their maintenance of good standing in the program. Information regarding the Speech-Language Pathology program and individual course descriptions are found in the URI Catalog on the Graduate School website and also on the CMD department website (www.uri.edu/hss/cmd). If a graduate student finds any inconsistencies between requirements as stated in the URI Catalog and in this manual, prompt resolution should be sought. The following is a quote from the Graduate School Manual: "If a change in program requirements occurs after a student has matriculated, the student may complete the requirements as specified in the catalog when he or she matriculated, or may shift entirely to the new requirements, but may not utilize a combination of both." 1.01 Religious Observances Added 8/10 No student shall be discriminated against because of religious beliefs or practices. Students who plan to be absent from classes or examinations for religious holy days that traditionally preclude secular activity shall discuss this with the appropriate instructor(s) in advance of the holy day(s). The instructor(s) shall then make one of the following options available: (1) the same quiz, test, or examination to be administered either before or after the normally scheduled time; (2) a comparable alternative quiz, test, or examination to be administered either before or after the normally scheduled time; or (3) an 4 alternative weighting of the remaining evaluative components of the course which is mutually acceptable to the student and instructor(s). SECTION 2.0 ORIGINS AND SCOPE Supported by a mandate from the Rhode Island Legislature, the graduate program in speech-language pathology was instituted at The University of Rhode Island in 1968-69. The degree program leading to the Master of Arts in speech-language pathology was formally approved. Communicative Disorders became a separate Department in the College of Human Science and Services at The University of Rhode Island in 1984. In 1985 the Audiology and Speech-Language Pathology programs were first accredited by the American Speech-Language-Hearing Association. More recently the Master of Science degree replaced the Master of Arts degree but preserved the student’s option to engage in research. Following a successful site visit conducted last spring, the Department of Communicative Disorder’s M.S. program in speech-language pathology was re-accredited by the Council on Academic Accreditation in Audiology and Speech-Language Pathology from December 1, 2013 through November 30, 2021. 5 SECTION 3.0 3.10 ADMISSION Revised 8/13 General Provisions 3.11. Individuals holding a baccalaureate degree or its overall equivalent may take graduate level courses in Communicative Disorders through admission to the Graduate School as degree candidates or, with very specific restrictions, by enrolling as non-matriculating students. General application deadlines are March 1 for fall admission, and October 15 for spring admission. Applications are submitted directly to the Graduate School (https://app.applyyourself.com//?id=uri) and in turn these are submitted to CMD. Graduate Faculty of the Department of Communicative Disorders examine the applications and credentials and forward recommendations concerning admission to the Dean of the Graduate School. Final admission decisions rest with the Dean of the Graduate School. 3.20 Candidates for Admission 3.21 Individuals wishing to be admitted for work towards the master’s degree in speech-language pathology must hold the baccalaureate degree from an accredited institution by the time they begin their graduate studies at URI. URI undergraduates who qualify for the Five Year B.S./M.S. program in Speech-Language Pathology and are encouraged to apply by their advisor are an exception. Students accepted to this program enter in their seventh undergraduate semester. Specific information about the 5-year program is provided on the CMD web site (www.uri.edu/hss/cmd). Note that the Graduate School Manual specifies details regarding all entrance and degree requirements (http://www.uri.edu/gsadmis/graduate_manual/index.html). 3.22 Acceptance as a graduate degree candidate generally indicates that the applicant has maintained at the very least a B (3.00 on a 4.00 scale) average in undergraduate study, satisfactory performance on standardized tests such as MAT (50th percentile or better) or GRE (50th percentile or better), and letters of recommendation supportive of relevant knowledge, skills, and professional potential. Admission to the M.S. program has become more competitive each year with many more applicants than available places in the program. This appears to be a nation-wide phenomenon and not a pattern specific to URI. Note that acceptance to the M.S. program does not guarantee that a student will complete the program. Successful achievement of the knowledge and skills delineated by the American Speech-LanguageHearing Association in both their classroom and clinical work, as well as passing of the comprehensive examination or its equivalent are the criteria for completion of the speech-pathology program. Similarly, acceptance to the graduate program does not assure a student of completing the program within a specific time frame although the program has been devised to require two fall-spring academic years + one summer (five semesters). The majority of students complete the program within that time frame, however it is not at all unusual for a student to either elect to complete his or her program more slowly or for that increased time span to be dictated by a student’s difficulties meeting the competencies required to move ahead in the program. Revised 8/13 3.23 An undergraduate major or concentration in Communicative Disorders is not required for admission to the graduate program, but the applicant must have completed or be prepared to complete course equivalents of the undergraduate courses CMD 272, 273, 274, 276, 278, 375, 377, and 465, as described in the URI Undergraduate Bulletin and on the department website 6 (http://www.uri.edu/hss/cmd/msAddUgReqs.html). These "background" courses must be completed before graduate coursework can be undertaken. In some instances additional undergraduate coursework may be prescribed to meet certification or licensure requirements. Revised 8/00 3.24 Upon notification of admission by the Graduate School, the student should notify the Department Chairperson of acceptance or decline of acceptance as soon as possible. The student will be assigned a faculty advisor and contacted by letter over the summer or prior to the start of the spring semester if beginning the program in the spring, with a tentative “best guess” for the student’s first semester of graduate study. An orientation seminar is scheduled for all graduate students before the start of the fall semester and for new students only prior to the start of the spring semester. Students are notified by email concerning the date and time of these orientation sessions. Following the general orientation meeting, students always have an opportunity to meet with their individual advisors and other faculty to discuss their schedules if necessary. Revised 8/11 3.25 The clinic and clinical faculty are located in Independence Square, Suite I. An additional graduate student work area and graduate student mailboxes are now located in Suite “H” directly across the hall from Suite “I”. A layout of clinical faculty and staff offices can be found on page 8. Faculty offices are located in the Fernwood Building on the north side of Rt. 138, two buildings west of Independence Square. A layout of faculty offices and student computer and study rooms can be found on page 9. 3.26 Suite “H”, although not depicted on the following pages, is made up of two rooms. One, on the right as you enter the suite, is configured as a conference room. With few exceptions, it is available to students for study and working on confidential clinic-sensitive documents and other work and is meant for quiet study. This room also houses video monitors where students may observe live or taped sessions conducted in the clinic. Headphones must be used to preserve the quiet study area. The room on the left, as you enter the suite, is configured more like an informal living room space. Within reason, the furniture can be moved to accommodate small group work. Both rooms are equipped with URI wifi. The graduate student mailboxes are located in the short hallway between the two rooms. It is understood that these rooms are meant for study and that students will respect the needs of their student colleagues for quiet when using these two spaces. It is advised that graduate students check their mailboxes a couple of times a week for important notifications that cannot be conveyed via e-mail. 7 Suite I – Independence Square (Suite H is across the hall) 3.25.1 Revised 8/11 Sue Oppenheim Secretary Copy/FAX machine (staff use only), paper shredder Faculty mailboxes Client files Gail Gendron – fiscal clerk CLINIC AREA Supervisors’ Office Geri Theadore Clinical Supervisor Clinical Assoc. Professor Speech/Language Pathologist Roberta Singer Audiologist Workroom for Graduate Assistants assigned to clinic management Gloria Gemma Figueroa Clinical Supervisor Speech Pathology Speech/Language Pathologist Elizabeth Connors Clinic Director Clinical Asst. Professor Speech/Language Pathologist 8 Fernwood Building 3.25.2 Revised 8/10 Dr. Dana Kovarsky Dept. Chair (Rm. 101) Dr. Jay Singer (Rm. 102) Dr. Amy Weiss (Rm. 103) Graduate Program Coordinator Dr. Mahler’s Lab Student Computer Room (Rm. 105) Student Computer Lab First Floor Dr. Leslie Mahler (Rm. 203) Dr. Mikyong Kim (Rm. 202) Laboratory Laboratory Student study room & video tape viewing Dr. Bethany Milner (Rm. 204) Second Floor Student study area & video tape viewing Student study area Third Floor 9 Revised 8/13 SECTION 4.0 4.01 Master of Science in Speech-Language Pathology: Thesis Option 1. 2. 3. 4. 4.02 MINIMUM DEGREE REQUIREMENTS AND PROGRAM OF STUDY 54 credits* Required courses consisting of CMD 493, 504, 550 (A, B, C), 560, 561, 564, 565, 569, 570, 581, 582, 583, 584, 585, and 592. Elective credits selected from CMD 492, 494, 563, 571, 580, 594, 595, and 598. 6 credits of CMD 599. Master of Science in Speech-Language Pathology: Non-Thesis Option 1. 2. 3. 54 credits* Required courses consisting of CMD 493, 504, 550 (A, B, C), 560, 561, 564, 565, 569, 570, 581, 582, 583, 584, 585, and 592. Elective credits selected from CMD 492, 494, 563, 571, 580, 594, 595, and 598. *Some students may be required to take more than 54 credits depending on the coursework they have when entering the program. For example, if CMD 493 (“Cultural and Linguistic Diversity”) was taken while a student was registered as an undergraduate student at URI, those three credit hours will have to be replaced by three additional graduate-level course credits; that is, the three credit hours for CMD 493 cannot be counted toward the 54 graduate credits needed for graduation. Similarly, the required ASHA pre-requisite courses in statistics, biological sciences and physical sciences cannot count toward the 54 required graduate hours. Revised 8/13 4.03 Requirements for the “Master of Science in Speech-Language Pathology Five Year Bachelors/Masters Degree” are as noted in 4.01 and 4.02 except that: 24 semester hours at the 500 level are taken in the senior undergraduate year and the remaining 30 semester hours at the 500 level in the first post-baccalaureate year. See the Graduate Catalog or consult the department’s website for specific information about the suggested scheduling of courses for students who have been accepted into the Accelerated Program (http://www.uri.edu/hss/cmd/accel_BSMS.html). NOTE: For the M.S. program in speech/language pathology, students must complete 25 hours of directed observations and a minimum of 375 supervised clock hours of practicum. These clock hours will be distributed across the categories of adult vs. child, speech vs. language, and assessment vs. intervention. The specifics of this distribution can be found beginning in section 5.0. 10 4.10 Non-thesis Options Revised 8/13 COMPREHENSIVE EXAMINATION The comprehensive examination in speech-language pathology is administered twice a year, typically in mid November (November 13th and 14th for fall, 2014) and mid March (March 12th and 13th for spring, 2015) over two days for a total of 6.5 hours of writing. Content areas include child language, adult language, voice, stuttering, phonology, research, motor speech disorders, dysphagia, cognitive disorders and audiology. Comprehensive examination questions are generated by the faculty member teaching the academic material in each content area. Each question on the examination must be passed for a student to pass the exam. A student is allowed only one re-examination that will cover any failed areas. A reexamination is generally given no sooner than 10 weeks after the initial examination was administered as recommended in the Graduate School manual to provide the student with sufficient time to prepare for the re-examination. Outcomes of the comprehensive examinations for each student are conveyed to the Graduate School by the Graduate Program Coordinator prior to the deadline date designated by the Graduate School for each semester. Specific information about the departmental comprehensive examination including dates and time of the exam is distributed to students who are planning to take the exam at the start of each semester by the Graduate Program Coordinator. This information includes practice questions for the students’ use. Further, the Graduate Program Coordinator meets with the prospective examinees early in the semester when the examination will be taken to explain the process and answer any questions the students may have. Because of the large numbers of students taking the exam each semester, the examination is typically held in a computer lab on the main portion of campus. DIRECTED ESSAY Revised 8/14 PURPOSE: An alternative to the traditional comprehensive examination experience, the purpose of the directed essay is to provide students with a capstone experience that promotes their academic development through research experience. At the same time, the directed essay is intended to provide faculty with additional support for increasing their own scholarly productivity. STUDENT SELECTION. The directed essay option is not a right to be granted automatically upon student request. Instead, it is a privilege for those individuals who the faculty believe would have little difficulty passing the traditional comprehensive examination and, as such, will be good candidates for an alternative scholarly experience. Faculty reserve the right and the responsibility to select only those students they consider to be the strongest academically and with whom they can develop a good working relationship. Decisions about directed essay candidates are made by the faculty as a whole, not by individual faculty members. In addition, supervising faculty members have the right to terminate a directed essay project before its completion, if it is decided that a participating student is not making satisfactory progress and is unlikely to produce a sufficient product by the semester deadline. If this occurs, the student will be required to take the traditional comprehensive examination. ESSAY TOPICS AND POTENTIAL PROJECTS. Faculty supervisors will meet with graduate students individually to develop topics of inquiry and to design experiences pertinent to exploring these 11 topics. The purpose is to construct an individualized, scholarly capstone experience that is mutually beneficial to the student and the supervising faculty member. Because the goal is to encourage a range of different capstone experiences that simultaneously fit the academic needs of students and supervising faculty, directed essay experiences may include, but are not limited to: (1) research projects that culminate in a written paper or publication; (2) scholarly projects that culminate in a student presentation at a local, state or national conference; and (3) scholarly reviews of the literature. As part of the directed essay option, graduate students will be required to register with their research mentor for CMD 598 and successfully complete at least 3 credits of independent study tied to their specific projects. 4.20 Transfer credit policy. 4.21 4.22 4.23 4.24 4.30 Revised 8/08 Transfer credit must not exceed 20% of the total credits required for the degree program [i.e., a maximum of 11 credit hours in the Master’s Degree]. Transfer credit must have been taken at the graduate level. A passing grade is required, and credits must have been completed within the past five years. The credits must have a clear and unquestioned relevance to the student's program of study. The Graduate School is the final arbiter of transfer credits as noted in the Graduate School Manual. Explanation of program length. Revised 8/13 The Master of Science in speech-language pathology can be completed in two years of full-time study, including summer course work and/or practicum. The two-year time frame assumes the satisfactory completion of all work including practicum, course work, and the comprehensive examination or the essay project. If a student enters the program lacking prerequisite courses (see 3.23), one year will likely be added to the total program length, assuming fall entry. Completion of prerequisites could take longer for students entering in the spring semester For students completing the thesis option, program length will be somewhat less predictable. In addition, some students may decide with the assistance of their advisor to lengthen their program if they find graduate-level work more demanding than they had anticipated. Finally, it is critical that students accepted into the program recognize that admission is not an agreement guaranteeing completion of the graduate program in the described two-year time frame. Student progress through the program is based on a student’s success in the program in its entirety. 4.31 Time Limit Revised 8/07 According to the Graduate Student Manual, Masters Degree requirements must be met within five calendar years after the date when the candidate is first enrolled as a graduate student at the University. (Seven years with special permission of the department and Dean of the Graduate School for part-time students.) This time period includes students taking any prerequisite course work. Therefore, students should carefully review the "Two Year Course Sequence" in Speech-Language Pathology (see 4.31.1) paying particular attention to these variables: a. scheduled times of clinics and classes, 12 b. c. course availability, courses serving as prerequisites for other courses and practicum to determine course selection, and the frequency of these offerings when registration decisions are made. ALL students must be registered in the semester in which they graduate. Therefore, if you are not registered for any course or clinic credits in the semester in which you expect to graduate, you MUST enroll in CRG 999 – Continuous Registration. See the URI Graduate School Manual for more detailed information on this requirement (http://www.uri.edu/gsadmis/graduate_manual/index.html). 4.32 Eligibility to march in graduate commencement Added 8/13 Participation in URI’s once-yearly May graduate school commencement acknowledges the completion of degree requirements. To be eligible to march in a graduate commencement, students must meet requirements set forth by the graduate school. For a current listing of these requirements, please go to http://www.uri.edu/gsadmis/Eligibility_to_March and recognize that these requirements are set by the GS and not by CMD. As of spring, 2014, students who were graduating in the summer semester (August) may walk in the spring (May) commencement if the comprehensive examination has been passed by the spring semester deadline and the student is registered for CMD 570 ONLY during the summer semester. As noted above, this policy is subject to change. 4.40 Planning a Total Program Revised 8/13 When planning what courses and/or practicum to include in your total program of study, first consult 4.42 "List of Required and Elective Courses in Speech-Language Pathology." Remember that the practicum requirement for speech-language pathology is 10 credit hours of CMD 570. Specific skill development in practicum experiences will be consistent with KASA standards (see Appendix A). After becoming familiar with the list of required and elective courses and when they are offered, each student should then meet with his/her advisor to decide the appropriate Program of Study (POS) for that individual. It is suggested that an original POS be filed with the Graduate School no later than the end of the student’s first full semester of attendance in the program if prerequisite courses have been completed. The Graduate Program Coordinator (Weiss) is responsible for preparing the POS document for submission to the Graduate School following the student’s meeting with his or her advisor. Once the advisor has approved a student’s prospective POS, this information will be conveyed to the Graduate Program Coordinator. It is suggested that students familiarize themselves with the new Program of Study document available through the Graduate School. See: http://www.uri.edu/gsadmis/Forms/grad/nonthesis_masters_plan_of_study.pdf. N.B.: If a student makes a program change between the Program of Study approved by the Graduate School and the courses he/she actually takes, a new Program of Study form must be submitted to the Graduate School for approval during the semester of graduation. This new Program of Study form should be discussed with the advisor first, then an appointment should be made with the Graduate Program Coordinator for completion and submission of the form. This very frequently happens and is not a problem unless the student does not initiate the resubmission of the new POS. Please attempt to bring any alterations to your POS to the attention of the Graduate Program Coordinator by February 1st for May graduates, October 1st for December graduates, and May 15th for summer graduates. Initiating the filing of a new POS is the responsibility of the student and not the faculty. 13 4.41 Advisor Meetings Added 8/07 Every student is assigned an advisor when he or she enters the graduate program. The advisor typically remains the same throughout the student’s training, unless a student request is made for a change or if new faculty advisors are added and student distribution changes. Students are provided with the faculty advisor/student list at each fall orientation. Students are required to meet with their advisor at least once per semester to plan the next semester’s course work. Further, students are responsible for initiating this contact. 14 4.31.1 Revised 8/14 Two-Year Course Sequence in Speech-Language Pathology Fall 2014 CMD 465 Clinical Methods in Communicative Disorders CMD 493 Cult/Ling Diversity in Communicative Disorders CMD 550 Audiology for the SLP CMD 561 Phonological Disorders CMD 565 Pre-Practicum in Speech-Language Pathology CMD 569 Tests & Measurement in Speech/Language Pathology Spring 2015 CMD 465 Clinical Methods in Communicative Disorders CMD 493 Cult/Ling Diversity in Communicative Disorders CMD 494 Autism & PDD CMD 504 Research in Communicative Disorders CMD 560 Voice Disorders CMD 564 Lang. Dis. in School-age Children CMD 570 Clinical Practicum in CMD CMD 570 CMD 581 CMD 584 CMD 585 Clinical Practicum in CMD Dysphagia Lang. Dis. Dev. Young Children Language Disorders in Adults CMD 571 CMD 582 CMD 583 CMD 595 Medical Speech Pathology Motor Speech Disorders Acquired Cognitive Com. Dis. Instrumentation and Computer Use in Communicative Disorders CMD 592 Disorders of Fluency *CMD 580 may be offered as an on-line course. CMD 594 Counseling in CMD Fall 2015 CMD 465 Clinical Methods in Communicative Disorders CMD 493 Cult/Ling Diversity in Communicative Disorders CMD 550 Audiology for the SLP CMD 561 Phonological Disorders CMD 565 Pre-Practicum in Speech-Language Pathology CMD 569 Tests & Measurement in Speech/Language Pathology CMD 570 Clinical Practicum in CMD CMD 581 Dysphagia CMD 584 Lang. Dis. Dev. Young Children CMD 585 Language Disorders in Adults CMD 465 CMD 493 CMD 494 CMD 504 CMD 560 CMD 563 Spring 2016 Clinical Methods in Communicative Disorders Cult/Ling Diversity in Communicative Disorders Autism & PDD Research in Communicative Disorders Voice Disorders Lang. Dis. in Infants & Toddlers CMD 564 Lang. Dis. School-aged Children CMD 565 Pre-Practicum in Speech-Language Pathology CMD 570 Clinical Practicum in CMD CMD 580 Augmentative & Alternative Comm. CMD 582 Motor Speech Disorders 15 CMD 592 Disorders of Fluency CMD 583 Acquired Cognitive Com. Dis. 16 Revised 8/13 Note: What appears below is only meant to be an example of how the 2-year program can be completed; it is not prescriptive. Summer courses are less predictable and could bear on the sequence you choose. 2 Year Sequence in Speech-Language Pathology I II Course Number 561 565 569 584 585 Credits 3 1 3 3 3 Summer Course Number 493 570 Credits 3 1 Course Number 504 564 570 582 elective III Course Number 550 581 592 570 Credits 3 3 1 3 1 IV Credits 1-2-3 3 3 3&1 Course Number 560 583 570 electives 17 Credits 3 3 3&1 3-4 4.31.2 Revised 8/13 Note: This is only meant to be an example of HOW the 3-year program can be done; it is not prescriptive. Summer course offerings are less predictable and could bear on the sequence you choose. 3-Year Sequence in Speech-Language Pathology I Course Number 561 584 585 II Credits 3 3 3 Course Number 504 564 582 565 III Course Number 569 570 581 594 Credits 3 3 3 1 IV Credits 3 1 3 1 Course Number 560 570 595 electives V Course Number 550 570 592 4.31.2 Credits 3 3 1 1-2 VI Credits 1-2-3 3 3 Course Number 493 570 571 583 18 Credits 3 3 2 3 Revised 8/13 Note: This is only meant to be an example of HOW the 4-year program can be done; it is not prescriptive. Summer courses are less predictable and could bear on the sequence you choose. 4 Year Sequence in Speech-Language Pathology I Course Number 561 584 II Credits 3 3 Course Number 504 564 III Course Number 550 569 594 Course Number 582 565 595 V Credits 3 1 1 VI Credits 3 3 1 Course Number 570 571 583 VII Course Number 570 592 Electives Credits 3 3 IV Credits 1-2-3 3 1 Course Number 581 585 570 4.31.2 Credits 3 2 3 VIII Credits 3 3 1-2 Course Number 493 560 570 19 Credits 3 3 3 4.42 Revised 8/13 List of Required and Elective Courses in Speech-Language Pathology Course Number CMD 492 CMD 493 CMD 494 CMD 504 CMD 550* See below! CMD 560 CMD 561 CMD 563 CMD 564 CMD 565 CMD 569 CMD 570 CMD 571 CMD 580 CMD 581 CMD 582 CMD 583 CMD 584 CMD 585 CMD 592 CMD 594 CMD 595 CMD 598 Course Title Required or Elective Special Problems Cult/Ling Diversity in CMD Autism & PDD Research in CMD Audiology for the SLP Voice Disorders Phonological Disorders Language Disorders In Infants & Toddlers Language Disorders in Schoolaged Children Pre-Practicum in SpeechLanguage Pathology Tests & Measurement in SpeechLanguage Pathology Clinical Practicum in CMD Medical Speech Pathology Augmentative & Alternative Communication Dysphagia Motor Speech Disorders Acquired Cognitive Disorders Language Disorders in Developmentally Young Children Language Disorders in Adults Disorders of Fluency Counseling in CMD Instrumentation & Computer Use in CMD Special Problems E (Fall/Spring) R (Fall/Spring) E (Spring) R (Spring) R (Fall/Spring) R (Spring) R (Fall) E (Spring/Even) R (Spring) R (Fall/Spring) R (Fall) R (Fall/Spring/Summer) E (Spring/Odd) E (Spring/Even) R (Fall) R (Spring) R (Spring) R (Fall) R (Fall) R (Fall) E (Fall/Even) E (Spring/Odd) E (Fall/Spring) * REGISTERING FOR CMD 550: a) Take three credits of 550 if you have not taken a course devoted to diagnostic audiology and one devoted to aural rehabilitation. b) Take two credits of 550 if you have taken a three credit course devoted to aural rehabilitation but no course in diagnostic audiology. c) Take one credit of 550 if you have completed a course devoted to diagnostic audiology but have not taken aural rehabilitation (this is an unlikely scenario). d) Five year students and others who have completed the URI undergraduate program should register for one credit of 550 based on the assumption that you have completed 361 and 454. 20 Revised 8/07 4.50 COURSE PLANNING When planning which courses to take in any given semester, consult 4.31.1 "Two Year Course Sequence in Speech-Language Pathology". Any necessary changes in this published schedule will be announced one semester in advance whenever possible. Also note 4.31.2 "Two, Three and Four Year Model Programs in Speech-Language Pathology", as examples of specific programs of study distributed over various time periods. 4.60 PROGRAM OF STUDY Revised 8/11 Before the completion of your first full semester of graduate study, you should meet with your faculty advisor and plan your projected Program of Study. Following the meeting with your advisor, during which your advisor has approved your program of study, schedule an appointment with the Graduate Program Coordinator to complete the form. She will work with you to get it ready for submission to the Graduate School. A sample program in speech-language pathology (4.61) should serve as a guide. Some of the courses listed in the "Model Program of Study" for speech-language pathology are electives, and you may substitute other electives. There is also a Program of Study By Time and Sequence (4.65), which must be submitted with the standard Graduate School Program of Study form (4.61). The purpose of the form is to help ensure courses and practicums are taken in logical relationship to one another and to allow students to project their activities in the graduate program in the early stages. A blank copy of this important form can be downloaded from the following URL: http://www.uri.edu/gsadmis/GradFormsPage.html. Again, it is advisable for you to “bookmark” this site for future reference. 21 4.61 Revised 8/08 At the same time you submit the draft of your Program of Study, please complete the following form. When filed in your department folder it provides the faculty with needed information for planning future course offerings. PROGRAM OF STUDY BY TIME AND SEQUENCE SEMESTER I DATE COURSE NUMBER II III IV V VI VII 22 TITLE 4.70 KNOWLEDGE AND SKILLS ASSESSMENT (KASA) Revised 8/14 The American Speech-Language-Hearing Association has a carefully delineated system for assuring the competence of newly trained professionals in speech-language pathology and audiology. This is referred to as the Knowledge and Skills Assessment or KASA. You will hear faculty using the acronym “KASA” a great deal during your time in this program. Prior to the implementation of the KASA standards, graduate students were regarded as competent upon satisfactory completion of an array of coursework and clinical practicum in addition to other requirements. However, the current KASA approach defines a body of clinical and academic skills required of all students in training that should be accrued beyond specific coursework delineated by ASHA. Faculty and clinic supervisors attest to the satisfactory acquisition of each skill. At the conclusion of each course and practicum experience, feedback is gathered regarding skill achievement and entered onto a master form, which can be reviewed by students and faculty. All skills noted on the KASA form must be satisfactorily completed by the end of a student’s program in order for the Department Chair to sign ASHA certification papers. The steps in the KASA process for each student are described in detail below. 4.71 1. 2. 3. 4. Explanatory Notes to KASA Procedure: Each student has a hard copy of a tracking form in the back of the Graduate Handbook that lists each element of knowledge and skill (Appendix A) that will provide you with an overview of the standards. During the fall 2014 semester, the department will be moving to a fully electronic method of maintaining information about the clinical and academic training of each student regarding the KASA standards. This system, known as Calipso ©, “is a webbased application that manages key aspects of academic and clinical education designed specifically and exclusively for speech-language pathology training programs” according to the company’s web site (http://www.calipsoclient.com/home). This system will allow each student to monitor his or her progress toward completion of training during the graduate program. The Graduate Program Coordinator and Clinic Director are charged with keeping the information current. Course syllabi will specify the knowledge and skills the student will have the opportunity to demonstrate within each course. Faculty will provide each student an opportunity to demonstrate knowledge or skill development (by examination, paper, presentation, project, etc.). At the conclusion of each semester faculty will transmit information regarding successful skill and knowledge development for every student to the Graduate Program Coordinator and Clinic Director and this information will be entered in students’ electronic tracking form. If a student fails to develop a skill or area of knowledge that was specified as included in a given course or practicum, this will be clearly conveyed to the student by the course instructor or clinic director, as is appropriate. On occasion, no specific action beyond feedback will be taken if another opportunity (course or clinic) remains available in which the skill can be acquired. However, a course instructor or practicum supervisor may provide the student with an opportunity to demonstrate acquisition of the standard in question by rewriting an answer to an exam question, submitting an additional assignment, etc. until the instructor is satusfied that the standard has been met. 23 5. 6. 7. 8. If a student would have no opportunity to satisfactorily develop a failed skill through the remainder of a regularly-scheduled program, then a remediation plan will be developed through collaboration with appropriate course instructors, clinical practicum instructors, and the clinic director. This remediation plan will outline the steps a student must follow to demonstrate successful completion of the standard and may include the scheduling of additional clinical practicum placement(s), or coursework designed to provide the necessary learning opportunities. A checklist will be used to account for skills or knowledge developed in clinic (CMD 570). These data will be entered on the electronic KASA tracking form via Calipso©. In the event a student fails to develop a clinical skill, a faculty member with expertise related to that area would assist in remediation if there were no other opportunities for the student to develop the skill in other clinic settings. The faculty member would supply guidance to the student as well as some mechanism for reassessing the skill in question. Faculty will review each student’s progress toward completion of the KASA tracking form at the student review meeting held at the end of each semester. Students should understand that satisfying KASA standards does not necessarily indicate completion of departmental or university requirements. It is possible that a student may pass a standard in one course, but not in another course taken subsequently. In this situation a student would be closely monitored and required to do more work to demonstrate overall competency of that standard. Note that the opposite is also true. Satisfying URI requirements for graduation without the meeting of KASA standards means that a student can graduate but cannot apply to ASHA for certification or the state of Rhode Island for licensure as a speech-language pathologist. 24 4.72 Flow Chart of KASA Procedure KASA STANDARDS STUDENTS RECEIVE TRACKING FORM IN MANUAL CLINIC COURSES STUDENTS’ PERFORMANCE TRANSMITTED AND TRANSFERRED TO ELECTRONIC STUDENT RECORD SUCCESSFUL COMPLETION MEANS COMPETENCY IS MET UNSUCCESSFUL OUTCOME MEANS Acquire skill elsewhere in course or clinic If no more opportunity, student receives additional training and special examination (REMEDIATION PLAN) PROGRAM DIRECTOR SIGNS OFF ON CERTIFICATION APPLICATION AFTER SATISFACTORY COMPLETION OF ALL KASA REQUIREMENTS 25 8/07 Revised 8/08 SECTION 5.0 5.01 OBSERVATION AND CLINICAL PRACTICUM Transfer of Clinical Hours 5.01.1 Undergraduate Clinic Hours Speech-language pathology students who have generated clinical hours from an accredited undergraduate clinical program may transfer a maximum of 50 hours toward fulfillment of the practicum requirements for the Masters degree. ASHA stipulates that at least 325 of the required 375 clinical hours must be obtained at the graduate level. 5.01.2 Graduate Clinic Hours Clinical hours for speech-language pathology students accumulated from an accredited graduate program may be transferred on an equal basis (1:1 ratio) toward the practicum requirements up to a maximum of 100 hours, providing these hours were acquired within five years prior to their transfer. This does not change the total number of credits required for completion of the degree. 5.02 Observation Hours Revised 8/13 In addition to the 375 clinical hours mandated by ASHA, speech-language pathology students also must observe clinic for a minimum of 25 hours prior to participating in clinical practicum. A person holding the Certificate of Clinical Competence (CCC) in Speech-Language Pathology must supervise these observations. These observations must consist only of hours in the major area of study. Students will complete these hours as a requirement of CMD 465 (Clinical Methods in Communicative Disorders) or through equivalent experience. These hours must be recorded by the student and signed by the supervisor at the time of the observation on forms obtained from the clinic director. If completed at another institution, verification of these hours must be provided to the Clinic Director prior to the student beginning clinical practicum. In addition to the 25 observation hours obtained in conjunction with CMD 465, graduate students will gain further observation experience as part of CMD 565, Pre-Practicum in Speech-Language Pathology. 5.03 Clinical Clock Hours Revised 8/08 Each speech-language pathology Master’s student must obtain a minimum of 375 clock hours of diagnostic/therapeutic experience in accordance with ASHA guidelines specified in the KASA document by the time the Masters degree is completed. This experience must be with a variety of disorders in diverse clinical settings. The departmental breakdown of the 375 hours is more specific than ASHA's recommendations. Departmental requirements are listed below. Note that not all 375 hours are designated according to 26 category; after meeting the minimum in each category, the remainder of the hours can be compiled from any of the categories noted. Revised 8/14 SPEECH-LANGUAGE PATHOLOGY DEPARTMENT REQUIREMENTS DX ASHA REQUIREMENTS 40 Students will be provided with clinical training opportunities sufficient to develop the skills specified in the KASA. (See Appendix A) This includes both child and adult. Minimum 10 child & 10 adult. Of each of these 10, 5 must be in speech and 5 in language. Must include language, speech and dysphagia hours. TX 150 Students will be provided with clinical training opportunities sufficient to develop the skills specified in the KASA. (See Appendix A) This includes both child and adult. Must include at least 50 language hours and 50 speech hours. Speech hours must include at least 10 hours in each of the following areas: o Phonology o Voice o Fluency o Dysphagia AUDIOLOGY Students will be provided with clinical training opportunities sufficient to develop the skills Students are encouraged to obtain both audiology specified in the KASA. (See Appendix A) screening and aural rehabilitation hours, however there is no specific number of hours required in either area. Revised 8/13 The student's goal must not be confined to the minimum hour requirements in each area. The more clinical hours obtained with a variety of clients, the better prepared the student will be to meet the challenge of working in this professional field. The minimum hour requirement may be increased at the 27 discretion of faculty if it is felt that a student requires additional hours to achieve competency prior to being awarded the degree. The decision to increase hour requirements for a student will be made by faculty/clinical staff consensus and the student will be notified in writing. Policy Regarding Unprofessional Clinic Behavior The assignment of a student to an on-campus or off-campus clinic represents a belief on the part of the faculty that the student has the necessary prerequisite competencies to succeed in the practicum placement when given appropriate and typical supports through clinical instruction. This understanding is based on the knowledge the faculty members have about the opportunities for information and experiences provided to students in their course work prior to a first clinical assignment as well as the knowledge the faculty has about the individual student’s readiness for first and subsequent practicum assignments. In addition, the collective, successful experiences of the faculty in supporting students in their development of pre-professional clinical competencies is substantial, representing many years of clinical and teaching experience. However, despite these factors, a student may occasionally find him or herself unable or unwilling to carry out the basic professional requirements of a clinic assignment. The faculty fully expects that students will grow in their clinical expertise as they progress through the clinical program. It is our job and responsibility to work with all students’ unique abilities in the acquisition of their clinical competencies. However, there is no tolerance for students exhibiting unprofessional behaviors at any time during clinic. These unprofessional behaviors may include but are not limited to: 1) inadequately preparing for each therapy session, 2) inconsistently completing paperwork in a timely fashion, 3) failure to demonstrate that he or she is incorporating feedback from the clinical instructor(s), and 4) failure to provide the client or clients with a positive clinical experience. Moreover, when these indicators of unprofessional performance are brought to the student’s attention and the student fails to demonstrate sufficient changes to these behaviors within a period of no more than four weeks, the student is in jeopardy of being removed from the clinical assignment and another student will be assigned to work with the clients. Note that in the URI Speech and Hearing Center, the needs of our clients are of paramount concern of the faculty as per the ASHA Code of Ethics (See pages 45-48 in this manual). Thus, unprofessional service delivery will not be tolerated and must be remediated. Persistence in provision of unprofessional service delivery to clients is a violation of the ASHA Code of Ethics. When a clinical instructor is concerned that a student is not meeting the basic requirements of the practicum assignment, he or she will arrange a meeting with the student to convey this concern as soon as possible. The specific problems will be delineated in written form and the specific means for rectifying the concerns will also be delineated. If there is insufficient change in the student’s performance during the following week, the clinic director will be alerted that the student’s ability to complete the clinical assignment is in question and the clinic director will meet with the student to discuss the concerns and reiterate that the student is in jeopardy of being removed from the practicum. From that point forward, the student will have two weeks to address the deficiencies identified. During this time as well the clinical director may also observe the student’s practicum. If, following the additional two weeks, the student has not met the basic professional performance criteria for remaining in the practicum (Please refer to the “Essential Functions” in Appendix B of this manual), he or she will be notified that the practicum assignment has been terminated. Another student registered for practicum will be assigned the clients involved. Note that the student who is removed from a clinical placement will receive a failing grade for that portion of CMD 570 registration and none of the contact hours 28 accrued during that assignment will count toward the student’s clock hour total required for graduation and ASHA certification. Recording of Clinical Hours Revised 8/14 All clinical clock hours accumulated by speech pathology students are to be recorded on the appropriate clock hour forms. There are separate forms for assessment and treatment hours, with all forms being available from the clinic director. Students must have these forms signed by their clinic supervisors following each diagnostic or therapy session. At the end of the semester the student is responsible for submitting all clock hour forms to the Clinic Director, however, it is in the students' best interest to retain a copy of these hour sheets for their own records. The clinical records retained by the clinic director are used to submit students' grades for clinical practicum, along with being the official record to verify the students' fulfillment of ASHA and degree clinical requirements. Students, not supervisors, are responsible for having these sheets signed in a timely fashion and for submitting these forms to receive proper credit. If a student does not submit clock hour sheets to the clinic director at the end of the semester, a grade of incomplete will be entered for that clinic until the hours are submitted. As mentioned earlier, during the fall 2014 semester we will be transitioning to a fully electronic method of record keeping for clinical clock hours, as well as KASA standards, when we begin using the Calipso© application program. More information on the procedures students will need to know will be forthcoming. At the start of the fall semester students need to record their hours on the clock hour sheets currently being used. It will be the clinic director’s responsibility to transition all of these hours to the Calipso © system. 5.04 On Campus Clinic -- URI Speech and Hearing Center Revised 8/14 Each student must complete CMD 565, Pre-Practicum in Speech-Language Pathology, prior to being assigned clinic. This pre-practicum course would generally be taken the semester prior to the first clinical placement. The student's first clinical placement is scheduled at the University Speech and Hearing Center, either Kingston or Pawtucket. Departmental policy requires that each student complete his/her first 50 hours of clinic in the major area of study in this setting. In some instances a student may be assigned to an off campus placement site when he/she has completed slightly less than the 50 hours. Likewise, it may be necessary to extend the on campus clinic placement hours if sufficient progress is not made in the initial 50 hours. The faculty and supervisors make these decisions as a whole, based on a student's overall clinic performance. Speech-language pathology students can expect to be scheduled for in-house clinic each semester concurrent with an outside placement. It is NOT the case that students are required to complete ONLY one child and one adult on-campus clinic. Students must complete in-house clinic in each of those age groups, but will have additional on-campus clinics throughout their training based on student and URI clinic needs. Students should always plan to have an on-campus assignment each semester once they begin clinic. In addition, after the first semester in clinic, students must be prepared to accept additional clients or patients after the start of the semester. That is, in keeping with the manner in which a nonuniversity clinic operates, new clientele are added and others may be dropped from service delivery for a variety of reasons. This happenstance allows our clinic to provide the most appropriate service delivery 29 to our clients as well as provide the most realistic training venue for our graduate students. Therefore, students who have registered for CMD 570 may in rare instances be expected to increase their individual caseloads during the semester. This will not occur for students enrolled in their first semester of clinical practicum, however. The following points regarding clinic participation and prerequisites should be kept in mind: 1. All students administering aural rehabilitation must have successfully completed CMD 454, 550 or the equivalent. 2. All students participating in their first clinic must have successfully completed course work in at least one language and one speech graduate course. 3. Students participating in a diagnostic clinic must have successfully completed the course pertaining to the diagnosis of speech/ language disorders (CMD 569 or its equivalent). Likewise, students must have successfully completed a course pertaining to the remediation of a particular speech disorder in order to engage in therapy related to that disorder. 4. Students may deliver clinical services to clients concurrent with the acquisition of academic course work only under the following conditions: a. 21 graduate credit hours must have been satisfactorily completed b. Fulfillment of the in-house clinic requirement, minimally at a B level c. Degree of clinical supervision must be commensurate with the student's academic background and clinical skill level d. Permission of department Revised 8/07 In-house clinic requirements for speech-language pathology students are as follows: Full time students will be expected to complete four to six hours of in-house clinic per week during their second semester of graduate study. Three-year students will be expected to complete four to six hours of in-house clinic per week during their third semester of graduate study. Four-year students will arrange clinic distribution with the clinic director on an individual basis. All students are required to complete an in-house diagnostic clinic during their last year of graduate studies. Students are expected to have some flexibility for these blocks of clinic time. The hours generally will be spread over portions of two days versus one full day. Students must keep this in mind when planning for their courses and assure that they have taken the necessary clinic prerequisites prior to this in-house clinic semester. If a student has a highly restricted set of 30 available hours for clinic due to course commitments, as well as work and home obligations, he/she may not be able to be scheduled for clinical practicum during that semester. Once a student has been scheduled for clinic, he/she is responsible for completing this important commitment. Students are not allowed to drop clinic once the clinic assignment is made. Unlike a class, practicum involves other individuals (the clients) and the commitment made by the student must be upheld. Clinic policies and procedures with which the student should be familiar are outlined in Section 5.06 of this manual. 5.05 Off Campus Placement Sites Revised 8/13 It is the intent of this department to provide each student with as comprehensive a clinical learning experience as possible. To attain this goal an attempt is made to schedule each student in a minimum of two and maximum of three off campus clinical placement sites during her/his graduate training, in addition to on campus placements. Diversity across sites is a primary consideration in placement selection. Prior to the start of each semester, students are provided with a scheduling form from the clinic director. In addition to outlining class and work commitments, this form allows students to list their preferences for types of placement sites. There is no guarantee the preferred type of setting can be arranged, however, it will be an important factor taken into consideration in making the placement decision. Other factors entering into this decision include: a. A student's academic and clinical background (i.e., each placement site requires that students have successfully completed certain courses related to the primary disorders seen in that facility or the types of testing conducted in that setting). Some placement sites require that student interns have completed at least one off campus practicum prior to placement at their facility; some require that the student be in his/her final semester of graduate study. b. Settings and clinical populations the student has not experienced in previous internships will have higher priority. c. Settings most likely to insure that the student will obtain the knowledge and skills he/she needs to fulfill KASA requirements will have greater priority. Placement decisions will not be based on distance from a student's home. All other factors being equal, a student may well be placed at a site near his/her home; however, this is not one of the criteria for determining placements. Please be aware that students may be placed in sites across Rhode Island, as well as in southern Massachusetts and Connecticut. Unfortunately student requests to remain within a specific geographical area cannot be accomodated. The clinic director arranges all practicum placements with the various placement agencies. Under no circumstances should a student arrange his/her own placement with an outside facility. This would lead to inefficient management of the clinic and a strain on relations between the clinic and 31 outside sources. If a student has an idea for a placement site that is not listed as being a facility for URI interns, including distance placements for summer practicum, it should be suggested to the clinic director that this site be considered for future placements. We welcome these suggestions!! J Once a student is scheduled for a practicum experience, he/she may not refuse to accept that particular placement, nor may he/she withdraw from the internship once the semester has begun. If a student has made a commitment to an outside facility and its patients, this commitment must be upheld. Semester placements, both on and off campus, typically extend from the first to the last week of classes for that semester. Most placement site schedules follow the university calendar (i.e., the student follows the university calendar for holidays); the exception to this is placement in a public school. In this case the student follows the school district calendar, taking their holidays and vacations and not those of the university. The student will be informed of the start and end dates of the internship at the time he/she is notified of the placement. A student may NOT end his/her placement at any site earlier than arranged at the start of the semester. A student will spend only one semester at any placement site. This allows for more varied learning experiences for the student and gives more students the opportunity to obtain training at each site. The amount of time per week required at each placement varies across facilities and is ultimately the decision of the supervisor at the placement site in conjunction with the clinic director. The average time commitment varies from site to site, but 3 to 4 days per week is typical. If a student is not performing satisfactorily in an internship placement, the site supervisor, in conjunction with the clinic director, has the option of terminating the student's participation at any time. This would never come as a complete surprise to any student, as meetings and conversations regarding clinical performance would necessarily precede dismissal. Students should be sure to seek periodic feedback from their clinical instructors both on and off campus if it is not readily provided. All outside placement site supervisors are provided with written and/or oral information on their student interns regarding the courses and clinics the student has completed. This information is provided prior to the student beginning the placement, so that the supervisor will have knowledge of the intern's background. With this information the supervisor can better structure the clinical experience at the site for the individual student. Following are potential placement sites for graduate student interns. All sites are not available every semester; participation in student training is the option of the site contact person and/or the Communicative Disorders department. Fewer off campus placement sites are available during the summer months. In-house clinic for speech is conducted during the summer on a reduced schedule. Out-of-state students who potentially have the opportunity to participate in a practicum experience in their home state during the summer months are encouraged to speak to the clinic director regarding arrangement of such a placement. When these placements can be secured, it is highly beneficial to the student. 32 SPEECH-LANGUAGE PATHOLOGY PLACEMENTS Revised 8/10 PLACEMENT POPULATION MINIMUM COURSE REQUIREMENTS Bradley Hospital Pre-school & adolescent; ASD; DD 584; 564; 569 (494 rec) Bristol-Warren Schools Elementary grades 561; 564; 569; 584 Central Falls Schools Elementary grades 561; 564; 569; 584 Charleton Memorial Hospital Adult lang, voice, motor speech, dysphagia 581, 582, 585, 569 Cranston Schools Elementary grades 561; 564; 569; 584 Cumberland Schools Preschool - G8 561; 564; 569; 584 East Greenwich Schools Preschool – G5 561; 564; 569; 584 Exeter-W. Greenwich Schools K - G1 561, 569, 584 Fall River Schools Elementary grades 561; 564; 569; 584 Franklin Mass Schools pre K – G1 561, 569, 584 (494 rec) Genesis SNF & Rehab Facilities Adult dysphagia, motor speech, lang 581, 582, 585 Groton Schools Elementary grades 561; 564; 569; 584 Kent Hospital Adult lang, voice, motor speech, dysphagia, TBI 560, 581, 582, 585, 569 Meeting Street Center EI; medically involved ages 3-21 564, 569, 580, 584 (581 rec) Memorial Hospital of RI Adult lang, voice, motor speech, dysphagia 581, 582, 585, 569 Zambarano Hospital Adult lang, voice, motor speech, dysphagia, TBI 581, 582, 585, 569 (580, 583 rec) 33 Morton Hospital Medical Center Child lang, phon, aural rehab Adult lang, voice, dysphagia, TBI 561, 584, 569 (454 rec) 581, 582, 585 (560, 583 rec) Narragansett Schools Elementary grades 561; 564; 569; 584 Oak Hill Nursing & Rehab. Adult dysphagia, motor speech, lang 581, 582, 585 Pawtucket Schools Elementary grades 561; 564; 569; 584 Rehabilitation Hospital of RI Adult lang, motor speech, dysphagia, TBI 581, 582, 585, 569 Rhode Island Hospital Adult lang, voice, motor speech, dysphagia, TBI 560, 581, 582, 585, 569 Sargent Rehabilitation Center Out-pt adults – lang, TBI, motor speech 569, 582, 585 (583 rec) South County Early Intervention 0 - 3 years; lang 584 (563 rec) South Kingstown Schools Pre-K – G3 Elementary grades Middle School 561; 564; 569 (494 rec) 561; 564; 569; 584 561, 564, 569 St. Joseph Hospital Adult lang, voice, motor speech, dysphagia, TBI 560, 581, 582, 585, 569 (583 rec) Vanderbilt Rehabilitation Center Adults – lang, TBI, motor speech 569, 582, 585 Warwick Schools Elementary grades 561; 564; 569; 584 Woonsocket Schools Elementary grades 561; 564; 569; 584 5.06 Clinic Policies and Procedures Revised 8/10 There are a number of clinic policies and procedures that each student is expected to follow. These guidelines have been established to provide the student with a certain level of responsibility and to assure professional and efficient management of the clinic. It is important to remember that we provide a service to the public and the clients' welfare is of paramount importance. 34 5.06.1 Ethical Responsibility/HIPAA Revised 8/05 Information regarding clients must be held in strict confidence. Cases may be discussed with supervisors, faculty and other student clinicians within the clinic; however, clients are not to be discussed with friends, roommates, or other persons outside the clinic. Do not talk about clients in the waiting room, observation rooms or hallways, or in any other area where individuals not entitled to the information might overhear your conversation. All practicum students are expected to perform according to the standards, practices and guidelines established by ASHA as described in the Code of Ethics. A copy of this Code of Ethics is provided in Section 7.90 of this manual; students are advised to become familiar with this document. The URI Speech and Hearing Clinic follows the requirements set forth by the Health Insurance Portability and Accountability Act, HIPAA. This federal mandate provides clients with protection of their medical information assuring confidentiality of all medical records. Upon their initial visit to the clinic, clients are provided with information about this privacy act, the clinic polices and procedures regarding this act, and are informed as to how they can get access to the Notice of Privacy Practices. This privacy notice hangs in the entrance to the clinic; students are encouraged to become familiar with its contents. 5.06.2 Professional Responsibilities Revised 8/08 All students participating in clinical activities are expected to present a professional appearance. Style of dress should reflect the role of a professional. For example, blue jeans, leggings, shorts, short skirts, and midriff or low cut tops are not considered appropriate clinical dress. No facial jewelry can be worn during clinic in on-campus or off-campus placements. No visible tattoos are acceptable. In addition all student clinicians in on-campus clinic must purchase and wear a white lab coat during all clinic activities. Observation students, as well as student clinicians, should dress in a manner that suggests professionalism to the clients. However, observation students will not be required to wear lab coats. Promptness is a professional courtesy all student clinicians must extend to clients. Clinicians must arrive at the clinic with enough time before their scheduled appointments to check equipment, set up rooms, speak with supervisors, etc. All clinic students are required to arrive at least one half hour before their scheduled clinic – earlier if requested by the supervisor. This should enable all clinicians to see their clients at the scheduled time. Clients are not to sit in the waiting room while the clinician sets up for the appointment; the clinician MUST be ready. 5.06.3 Clinic Schedule Revised 8/14 For fall semester, students will be informed of their clinic schedules by July or early August whenever possible; for spring semester students will be provided this information prior to December intersession in most cases. Clinics are held through the final week of classes. When students are notified of their placement, they are informed of the ending date of clinic. 35 For summer clinics students will be notified of their placements by early May, whenever possible. Inhouse clinic typically extends across summer sessions I and II. Off campus placements generally extend across the summer. 5.06.4 Clinic Registration Revised 8/07 Speech-language pathology students will register for 10 credits of CMD 570 spaced across several semesters. The method for registering for CMD 570 is as follows: CMD 570 section 0001 (3 credits) for most off campus placements. CMD 570 sections 0002 – 0005 (1 credit each) for each in-house clinic. All clinic registration requires a permission number from the clinic director. This provides assurance that you will be registered in the correct section(s) of clinic. Students are issued their permission numbers when they receive their clinical assignments. 5.06.5 Testing, Therapy and Observation Rooms Revised 8/13 Eating and drinking are not allowed ANYWHERE in the clinic area, even within a treatment session. Care should be taken to maintain the condition of clinic rooms. This includes keeping painted walls and furnishings clean and in good repair, along with cleaning up rooms at the end of sessions and returning the furniture arrangement to the way you found it. There is cleaner available to all students in the treatment room cabinets or from their supervisors to disinfect tables and toys and wipe down observation windows at the end of every session. Please do so. Students should also be cognizant of the condition of the observation rooms. If you see a sibling of a client eating food in the observation room, please direct the family to the cafeteria. Also, if you are observing, please refrain from sitting with your feet propped against the walls. 5.06.6 Diagnostic and Therapy Materials Revised 8/14 Diagnostic and therapy materials are available for student use. Materials will be available to students on a check out basis, with the operation of the Material Room being the responsibility of a clinic graduate assistant. A schedule will be posted at the start of clinic each semester outlining Material Room hours. If the room is not open when a student needs materials, he/she must have her supervisor accompany her to the room and check out the materials for her. The department secretary does not have keys to the cabinets. NO students will be given the keys to the material cabinets, as we have experienced a high rate of missing items in the past and items cannot be replaced. Items from this room are only available for clinic use; if students need to review/use clinical materials for a class project, they must obtain the items from the course instructor. Any student who feels that there is inadequate access to materials should bring this to the attention of the clinic director, however, it is generally the case that the room is open for a part of every day and students must avail themselves of these times. Students will be held accountable for any materials they check out and will be responsible for replacement of any items damaged or not returned to the clinic. Although the department does have a respectable selection of therapy materials for student use, students are encouraged to begin their own files of materials when they start their clinical training. All materials, both diagnostic and treatment, must be returned to the cabinets immediately after use. 36 Please respect the Materials Room area and put things away where you found them. The clinic director and her graduate assistants have been fighting a losing battle in trying to keep the room neat and safe. It is NOT safe to have materials thrown all over the floor where people can trip on them. It is NOT fair to your fellow colleagues to put things back in a place they do not belong, as others then cannot find them to use. Please RESPECT the room and others’ needs for the materials. Students are NOT to leave any clinic materials, their own materials or clinic property, in the treatment room cabinets. If they do, the student materials will be discarded. 5.06.7 Client Files Revised 8/13 Files for therapy clients are located in the copy room in the Speech and Hearing Center in Independence Square; files for diagnostic clients can be found in the first drawer of the file cabinet in the Graduate Assistant Room. Clients seen in the Pawtucket clinic have duplicate files located in both Kingston and Pawtucket. Under no circumstances are any of these files to be removed from the building, nor are any students allowed to make copies of any reports. This rule must be strictly enforced to avoid lost or missing files, which would result in a breach of confidentiality. Removing client files from the building is also a violation of the HIPAA federal privacy act. Note that files may be read in Suite H, the graduate student lounge. There is a check out system for client files in Kingston. When anyone removes a client file from a file drawer, he/she needs to fill out a check out slip (located on top of the file cabinet) and insert this in place of the borrowed file until the file is returned. This system should be used whether the student is taking the file into another room for review or giving the file to his/her supervisor with the client's report. 5.06.8 Release Forms Revised 8/08 We are required by law to have signed release forms before we can send out any information on clients. If we do not have these signed forms in a client's file, we may not send copies of the client's reports to anyone, even if the client has verbally requested that we do so. Please be sure that for any diagnostic clients, you have these forms signed if any copies of reports are to go out. Clinicians of on-going therapy clients are advised to check their clients' files at the start of the semester for signed release forms to avoid the inadvertent release of reports without permission. Students also must have a general permission form signed by a client or parent at the start of treatment to cover videotaping of a session, observers, etc. These forms can be obtained from the clinic director’s graduate assistants, if there is not one already in the client's file. Clients must also sign a Protected Health Information (PHI) form, which informs them of the HIPAA privacy policy, when they first begin services at the clinic. 5.06.9 Client Parking Revised 8/14 Clients should be advised to park in the Independence Square parking lot, however, they need a parking hangtag from the department to do so. There is a system for issuing hangtags instituted by the Independence Square owners. Therapy clients will be issued a hangtag that will expire at the end of each semester, while diagnostic clients will be issued a tag for only the week(s) they will be coming. The Clinic Director will issue the hangtags for clients when their appointments are made. No students may have access to the tags. NO STUDENTS are allowed to park in the Independence Square lot in Kingston or in the Fernwood lot, whether they are here for classes or for clinic. These lots are 37 patrolled by URI parking services and all students will be ticketed and towed. We have been informed by the Independence Square management that requests for ticketing and towing have been increased due to the high frequency of students parking illegally last year. Students must park in the Keaney commuter lot or in other student lots on campus. Students MUST buy a commuter parking pass at the start of the year. 5.06.10 Absences - Client/Clinician Revised 8/04 If a client cancels his/her appointment, the clinician’s supervisor, the clinic director or the department secretary will notify the clinician. If the cancellation is for a diagnostic appointment, the client will be re-scheduled, if possible, by the clinic. If a therapy client cancels a session, the student clinician is not required or expected to make up the session. If a therapy client has frequent absences, we have the option of discontinuing his/her therapy. Students should inform the clinic director if excessive absences occur with any client. The clinic director and supervisor will determine if dismissal action is warranted. Clients are advised of the consequences of frequent absences through a form that they sign when they are first seen at this center. If a clinician is unable to meet with a client at the scheduled appointment time (e.g., due to accident, illness, etc.), the student is responsible for notifying the supervisor well in advance of the appointment. It is the supervisor's decision as to whether the student should cancel the session, find a replacement or re-schedule the appointment. Student clinicians must notify their supervisors before canceling any scheduled appointment. Notification to the supervisor must be done with sufficient time for the supervisor to be able to exercise the option of cancellation. NO clients are to be canceled without the consent of the supervisor. If a therapy session is canceled due to student absence, the student must schedule a make-up session. Since the client pays for a certain number of sessions, any cancellations on the part of the clinic must be re-scheduled. The exception to this would be clinic closing due to weather conditions (i.e., snow storms). The clients should be made aware that if the university closes due to severe weather, clinic appointments are automatically canceled. Students are not obligated to re-schedule these sessions. 5.06.11 Client Reports Revised 8/10 Students involved in the assessment of clients are responsible for writing a diagnostic report for each client, which must be submitted to the supervisor within three weeks of the client's appointment. Students are responsible for writing progress reports on each therapy client. These reports must be submitted to the supervisor one week after the conclusion of therapy for the semester. In most clinical experiences supervisors and students prefer to exchange client reports electronically. This is an accepted policy, however be aware that HIPAA regulations state that no identifying information can be contained in any report transmitted electronically. Therefore, supervisors must fill in the identifying client information in the final draft of the report and print it for copying or the student must complete the information, print the report and bring the final hard copy to the supervisor for signature. Each supervisor will inform students as to how he/she wants this handled. 5.06.12 Client-Clinician Scheduling Revised 8/10 38 The clinic director is responsible for scheduling all clients in the Speech and Hearing Center, along with coordinating the schedules of clients, students and supervisors. All students are provided with clinic request forms to complete each semester, which outlines their schedules for the following semester. Every reasonable effort is made to accommodate students and clients alike, and to provide students with the type of clinical experience most needed. If a student does not submit his/her request form prior to the stated deadline for a semester, the clinic director is not obligated to schedule that student for clinic that semester. 5.06.13 Student Observers Revised 8/07 Students completing their 25 hours of observation experience, who are not enrolled in CMD 465, will be scheduled for these sessions by the clinic director. Students are expected to adhere to these schedules and may only change their observation times with permission of the supervisors involved and the clinic director. 5.06.14 Student Evaluations Revised 8/13 At the mid-point and end of each semester of clinical practicum, the student will receive a written evaluation from each of his/her supervisors (whether an in-house or off campus placement). At midsemester the evaluation is reviewed with the student and retained by the supervisor. At the close of the semester the evaluation with a numerical score calculated is submitted to the clinic director. A letter grade is then determined based on the numerical score. The clinic director keeps the completed evaluation forms in the student's clinical file. After grades have been submitted, a student is encouraged to review his/her evaluation. Copies are not routinely given to students. The student must demonstrate clinical competence for all clinical hours required for the degree. For all students in the graduate program, any hours graded at a level below a "C" are unsatisfactory and considered a failing grade. These clinical hours will not be counted toward any total hour requirement. However, the grade for each clinic will be counted and entered into a student's academic record in accordance with university policy. Grades for all clinics, therefore, will be recorded on a student's transcript. If any student is having undue difficulty in clinic and receives a grade of C or below, it is the option of the faculty to remove the student from clinic until and unless it is determined that future clinics may be successful. In addition, in such circumstances it is the responsibility of the faculty to counsel the student regarding the feasibility of his/her success in the program and the wisdom of continuation. The department does not take this action lightly. It would only occur when sufficient clinical data with reference to the KASA standards and the “Essential Functions” document have been collected and indicate the probability that the student would be unsuccessful as a clinician even given maximum supervisory support. The student must remember that supervisors have an allotted amount of time that they can devote to any one student in clinic, as they have several students to teach and support in any clinic. Thus, students who need an extraordinary amount of one-on-one support following the first few weeks of a practicum are not meeting the challenges of the clinic assignment in an adequate manner. In sum, students should note that the faculty has had many years of teaching experience as well as professional clinical experience and has expertise in recognizing when students are unlikely to achieve clinical competence within the confines of a graduate clinical training program. 39 Re-entry into Clinical Practicums Following a Failing Clinic Grade If a student has failed a clinic placement due to weak performance or has been removed early from a placement because of failure to meet basic professional requirements to continue in the placement, the student will return to the clinic only at the recommendation of the faculty. A student’s failure in a clinic registration indicates that there is a significant difference between the student’s ability to adequately perform in the placement and expectations for that student. These differences may reflect any or all of the following: a lack of knowledge about the disorder area(s) represented by the clients assigned, a lack of professional demeanor, an inability to follow through with requirements to complete clinical preparation in a timely and adequate manner, or an inability to make adequate progress in developing clinical independence by the end of the semester. The process of re-entering the clinic will depend on the individual students’ reasons for their difficulties. Thus, the recommendation for one student may include but is not limited to repeating course work or completing supplementary course work, spending a semester in clinical observation, or completing a series of virtual clinical cases. 5.06.15 Supervisor Evaluations Revised 8/08 At the conclusion of each academic semester, students will be provided with forms to evaluate both on and off campus supervisors' performance. These forms are to be returned to the clinic director. The completed forms are distributed to in-house supervisors for their review AFTER students' grades have been submitted. The completed evaluations are not reviewed directly by off campus supervisors when only one student was at a placement site due to loss of anonymity. However, these supervisors are provided with general feedback covering several semesters from the clinic director based on evaluative comments. The evaluations are kept on file as a method of having a record of all supervisors' performance. It is important that students complete and submit these evaluations in order that supervisors obtain feedback. It is also important for us to have these on file for ASHA accreditation purposes. 5.06.16 Clinic Fees Revised 8/08 The Speech and Hearing Center charges fees for services rendered. The student clinician is responsible for collecting this fee and giving it to his/her clinic supervisor. If the fee has been reduced or waived by the clinic director, supervisors will inform the student of this. Supervisors will also inform the student of the amount to be collected from each client. The Speech and Hearing Center is a third party provider for several insurance companies. When we see clients with insurance that will cover the client's services, the student will be responsible for collecting the insurance information and submitting it to Gail Gendron, department fiscal clerk. Supervisors will inform students of the specific procedures to follow during individual clinic orientations held at the start of each semester. 40 SECTION 6.0 CERTIFICATION AND LICENSURE 6.1 State Department of Education Certification Revised 8/09 All students completing the Master's Degree in speech-language pathology at the University of Rhode Island are automatically eligible for certification by the Rhode Island Department of Education. This certification is required for a position within the public schools of Rhode Island. Upon completion of their graduate program students can access the teacher certification application by going to the State Department of Education online at www.ride.ri.gov. 6.11 Those seeking teacher certification or credentials for states other than Rhode Island should contact the appropriate state educational agencies for regulations and protocols. 6.2 R.I. Provisional Licensure by the State Department of Professional Regulations Revised 8/13 Rhode Island law mandates provisional licensure for Clinical Fellows (CFs) in this state. No graduate can work in any setting in Rhode Island other than a school system without this provisional license. The provisional license application can be obtained online from the Department of Health at www.health.state.ri.us. In addition to your completed application, you will need to provide: a. b. c. d. e. 6.3 Graduate transcript from ASHA accredited college/university, which includes the degree granted and date awarded; (must be sent directly from the university to the Dept. of Health) Documentation of your clock hours sent directly to the Dept. of Health from an ASHA accredited institution; Praxis score sent directly to the Dept. of Health from the ETS Recent passport type photograph (2” X 2” head and shoulder view); Application fee R.I. Licensure by the State Department of Professional Regulations Revised 8/13 Individuals who intend to deliver clinical services as speech-language pathologists outside of the public schools in the State of Rhode Island must seek licensure by the State Department of Health, Division of Professional Regulation. Individuals who have completed all or part of their CFY in Rhode Island will already have provisional licensure and need only submit with their application written verification directly from ASHA of the awarding of their CCC. Individuals who completed their CFY outside Rhode Island and who have received ASHA certification are granted licensure subsequent to verification of academic background, ASHA certification status, recent passport type photograph (2” X 2” head and shoulder view)and submission of the application fee. Details can be found on the Department of Health website at www.health.state.ri.us. 41 6.4 Certificate of Clinical Competence by the American Speech-Language-Hearing Association Revised 8/08 Each potential graduate of the URI Master's Degree program in speech-language pathology is urged to apply for the CCC from ASHA. This nationally recognized credential is often the basis for state licensure (see 6.2 & 6.3 above), employment in most clinical settings, reciprocal recognition of professional competence among states as well as among allied health disciplines, and a prerequisite to private practice and supervision. 6.41 The ASHA National Examination in Speech-Language Pathology Revised 8/08 In order to achieve certification it is necessary to complete a satisfactory training program at the graduate level, fulfill the Clinical Fellowship Year (CFY) requirements and pass the National Examination (Praxis Exam) in speech-language pathology. Students do not have to wait until they have received their degree to take this exam, however, one would want to be close to completion of course work before taking it. Since results of the Praxis are required for provisional licensure in Rhode Island (and many other states), a student might consider taking the exam during her last semester versus after graduation. The ASHA website provides information on materials that aid in preparation for the exam: www.professional.asha.org. 6.42 Clinical Fellowship Year (CFY) in Speech-Language Pathology Revised 8/08 Satisfactory completion of the Clinical Fellowship Year following the student's attainment of the master’s degree is an important component of the certification process. The Department of Communicative Disorders will do all it can to assist its graduates in arranging CFY placements if needed. For detailed information concerning the CFY experience see the ASHA website: www.professional.asha.org. 42 Revised 8/13 SECTION 7.0 EVALUATION OF STUDENT PROGRESS AND ETHICS 7.10 Criteria for Student Review Student review will be guided by the knowledge and skills specified by the KASA document (Appendix A) and other data and observations provided by faculty and clinic supervisors including the “Essential Functions” document found in Appendix B. 7.20 Academic Review Obviously students will receive feedback concerning their performance in individual classes and from practicum supervisors in clinical settings. However, each student is also subject to team review by the graduate faculty and clinical staff at fixed periods described below. 7.30 7.40 7.21 Each graduate student will have his/her academic progress reviewed at the end of each semester. 7.22 A student may be reviewed at any time upon the request of a faculty member during a scheduled faculty meeting. Clinical Review 7.31 Each student's progress will be reviewed at the completion of each semester's practicum. 7.32 Clinic supervisors’ evaluations of students will be available to faculty at the conclusion of each semester. 7.33 Contact will be made with the clinic supervisor of each student during each external placement. 7.34 The clinic director and/or the student's advisor will be notified of any unresolved difficulties between the student and clinic supervisor. Student Review of Program and Feedback Revised 8/08 Students have the opportunity to supply feedback on the program through interactions with their advisor or any other faculty member, as well as at scheduled meetings between the Department Chair and individual graduate students. In addition, a student may also share concerns with the ASHA Council on Academic Accreditation (CAA). The CAA can be contacted at the following address: Council on Academic Accreditation c/o The American Speech-Language-Hearing Association, 2200 Research Blvd., Rockville, MD 20850-3289. The ASHA main phone number for contacting the CAA is: (301) 296-5700. 43 7.50 Recommendations resulting from either academic or practicum reviews will be forwarded promptly in writing to the student for consideration. 7.60 The Graduate School and the discipline of speech-language pathology each require certain standards of ethical behavior that must be upheld. 7.70 The standards for academic integrity are clearly stated in the Graduate Student Manual (A.10) on the Graduate School website and need not be repeated here. Students writing research papers and reports should be familiar with definitions of "plagiarism" (A.13), as these will be applied. 7.80 Because graduate students as observers of clinical procedures and as providers of clinical services under direct supervision are routinely involved with human subjects, certain standards of behavior and decorum are essential. For example, actual clients discussed in graduate classes or presented in video demonstrations are entitled to privacy and confidentiality beyond the instructional function and must not be discussed outside of classes or clinic settings in ways that might identify the subjects. Nor should students discuss their practicum cases with anyone other than those University officials directly concerned with the placement and management of practicum experience. To familiarize students with the ethics of their chosen profession, a copy of the current "Code of Ethics of the American Speech-Language-Hearing Association" is attached (see 7.90). Not all of the standards will be directly applicable to the student clinician, but all standards are germane to clinical supervisors of such students and must be supported by the student clinician. 7.90 Students are asked to carefully read through and then sign the document added as Appendix B of this manual titled: “Essential Functions of Speech-Language Pathology Education”. This document spells out, as specifically as possible, what the departmental expectations are for student performance for successful completion of the M.S. program. A signed copy of this form will remain in your student folder during your program. It is your responsibility to sign the form and return it to Graduate Program Coordinator (Weiss) no more than one week following the student’s first orientation meeting. 44 7.90 Revised 8/10 Code of Ethics Preamble The preservation of the highest standards of integrity and ethical principles is vital to the responsible discharge of obligations by speech-language pathologists, audiologists, and speech, language, and hearing scientists. This Code of Ethics sets forth the fundamental principles and rules considered essential to this purpose. Every individual who is (a) a member of the American Speech-Language-Hearing Association, whether certified or not, (b) a nonmember holding the Certificate of Clinical Competence from the Association, (c) an applicant for membership or certification, or (d) a Clinical Fellow seeking to fulfill standards for certification shall abide by this Code of Ethics. Any violation of the spirit and purpose of this Code shall be considered unethical. Failure to specify any particular responsibility or practice in this Code of Ethics shall not be construed as denial of the existence of such responsibilities or practices. The fundamentals of ethical conduct are described by Principles of Ethics and by Rules of Ethics as they relate to the responsibility to persons served, the public, speech-language pathologists, audiologists, and speech, language, and hearing scientists, and to the conduct of research and scholarly activities. Principles of Ethics, aspirational and inspirational in nature, form the underlying moral basis for the Code of Ethics. Individuals shall observe these principles as affirmative obligations under all conditions of professional activity. Rules of Ethics are specific statements of minimally acceptable professional conduct or of prohibitions and are applicable to all individuals. Principle of Ethics I Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally or who are participants in research and scholarly activities, and they shall treat animals involved in research in a humane manner. Rules of Ethics A. Individuals shall provide all services competently. B. Individuals shall use every resource, including referral when appropriate, to ensure that highquality service is provided. C. Individuals shall not discriminate in the delivery of professional services or the conduct of research and scholarly activities on the basis of race or ethnicity, gender, gender identity/gender expression, age, religion, national origin, sexual orientation, or disability. 45 D. Individuals shall not misrepresent the credentials of assistants, technicians, support personnel, students, Clinical Fellows, or any others under their supervision, and they shall inform those they serve professionally of the name and professional credentials of persons providing services. E. Individuals who hold the Certificate of Clinical Competence shall not delegate tasks that require the unique skills, knowledge, and judgment that are within the scope of their profession to assistants, technicians, support personnel, or any nonprofessionals over whom they have supervisory responsibility. F. Individuals who hold the Certificate of Clinical Competence may delegate tasks related to provision of clinical services to assistants, technicians, support personnel, or any other persons only if those services are appropriately supervised, realizing that the responsibility for client welfare remains with the certified individual. G. Individuals who hold the Certificate of Clinical Competence may delegate tasks related to provision of clinical services that require the unique skills, knowledge, and judgment that are within the scope of practice of their profession to students only if those services are appropriately supervised. The responsibility for client welfare remains with the certified individual. H. Individuals shall fully inform the persons they serve of the nature and possible effects of services rendered and products dispensed, and they shall inform participants in research about the possible effects of their participation in research conducted. I. Individuals shall evaluate the effectiveness of services rendered and of products dispensed, and they shall provide services or dispense products only when benefit can reasonably be expected. J. Individuals shall not guarantee the results of any treatment or procedure, directly or by implication; however, they may make a reasonable statement of prognosis. K. Individuals shall not provide clinical services solely by correspondence. L. Individuals may practice by telecommunication (e.g., telehealth/e-health), where not prohibited by law. M. Individuals shall adequately maintain and appropriately secure records of professional services rendered, research and scholarly activities conducted, and products dispensed, and they shall allow access to these records only when authorized or when required by law. N. Individuals shall not reveal, without authorization, any professional or personal information about identified persons served professionally or identified participants involved in research and scholarly activities unless doing so is necessary to protect the welfare of the person or of the community or is otherwise required by law. O. Individuals shall not charge for services not rendered, nor shall they misrepresent services rendered, products dispensed, or research and scholarly activities conducted. P. Individuals shall enroll and include persons as participants in research or teaching demonstrations only if their participation is voluntary, without coercion, and with their informed consent. Q. Individuals whose professional services are adversely affected by substance abuse or other health-related conditions shall seek professional assistance and, where appropriate, withdraw from the affected areas of practice. R. Individuals shall not discontinue service to those they are serving without providing reasonable notice. Principle of Ethics II Individuals shall honor their responsibility to achieve and maintain the highest level of professional competence and performance. 46 Rules of Ethics A. Individuals shall engage in the provision of clinical services only when they hold the appropriate Certificate of Clinical Competence or when they are in the certification process and are supervised by an individual who holds the appropriate Certificate of Clinical Competence. B. Individuals shall engage in only those aspects of the professions that are within the scope of their professional practice and competence, considering their level of education, training, and experience. C. Individuals shall engage in lifelong learning to maintain and enhance professional competence and performance. D. Individuals shall not require or permit their professional staff to provide services or conduct research activities that exceed the staff member's competence, level of education, training, and experience. E. Individuals shall ensure that all equipment used to provide services or to conduct research and scholarly activities is in proper working order and is properly calibrated. Principle of Ethics III Individuals shall honor their responsibility to the public by promoting public understanding of the professions, by supporting the development of services designed to fulfill the unmet needs of the public, and by providing accurate information in all communications involving any aspect of the professions, including the dissemination of research findings and scholarly activities, and the promotion, marketing, and advertising of products and services. Rules of Ethics A. Individuals shall not misrepresent their credentials, competence, education, training, experience, or scholarly or research contributions. B. Individuals shall not participate in professional activities that constitute a conflict of interest. C. Individuals shall refer those served professionally solely on the basis of the interest of those being referred and not on any personal interest, financial or otherwise. D. Individuals shall not misrepresent research, diagnostic information, services rendered, results of services rendered, products dispensed, or the effects of products dispensed. E. Individuals shall not defraud or engage in any scheme to defraud in connection with obtaining payment, reimbursement, or grants for services rendered, research conducted, or products dispensed. F. Individuals' statements to the public shall provide accurate information about the nature and management of communication disorders, about the professions, about professional services, about products for sale, and about research and scholarly activities. G. Individuals' statements to the public when advertising, announcing, and marketing their professional services; reporting research results; and promoting products shall adhere to professional standards and shall not contain misrepresentations. Principle of Ethics IV Individuals shall honor their responsibilities to the professions and their relationships with colleagues, students, and members of other professions and disciplines. 47 Rules of Ethics A. Individuals shall uphold the dignity and autonomy of the professions, maintain harmonious interprofessional and intraprofessional relationships, and accept the professions' self-imposed standards. B. Individuals shall prohibit anyone under their supervision from engaging in any practice that violates the Code of Ethics. C. Individuals shall not engage in dishonesty, fraud, deceit, or misrepresentation. D. Individuals shall not engage in any form of unlawful harassment, including sexual harassment or power abuse. E. Individuals shall not engage in any other form of conduct that adversely reflects on the professions or on the individual's fitness to serve persons professionally. F. Individuals shall not engage in sexual activities with clients, students, or research participants over whom they exercise professional authority or power. G. Individuals shall assign credit only to those who have contributed to a publication, presentation, or product. Credit shall be assigned in proportion to the contribution and only with the contributor's consent. H. Individuals shall reference the source when using other persons' ideas, research, presentations, or products in written, oral, or any other media presentation or summary. I. Individuals' statements to colleagues about professional services, research results, and products shall adhere to prevailing professional standards and shall contain no misrepresentations. J. Individuals shall not provide professional services without exercising independent professional judgment, regardless of referral source or prescription. K. Individuals shall not discriminate in their relationships with colleagues, students, and members of other professions and disciplines on the basis of race or ethnicity, gender, gender identity/gender expression, age, religion, national origin, sexual orientation, or disability. L. Individuals shall not file or encourage others to file complaints that disregard or ignore facts that would disprove the allegation, nor should the Code of Ethics be used for personal reprisal, as a means of addressing personal animosity, or as a vehicle for retaliation. M. Individuals who have reason to believe that the Code of Ethics has been violated shall inform the Board of Ethics. N. Individuals shall comply fully with the policies of the Board of Ethics in its consideration and adjudication of complaints of violations of the Code of Ethics. 48 Revised 8/10 SECTION 8.0 PROFESSIONAL ORGANIZATIONS AND OTHER MATTERS Students who merely attend classes and participate in clinical practicum will be missing an important part of the graduate experience: Joining the like-minded groups in the pursuit of mutual interests and goals. Many fine organizations are available to graduate students. 8.1 The University of Rhode Island Student Speech-Language-Hearing Association. URI has a local chapter of the National Student Speech-Language-Hearing Association on campus. Membership is open to both undergraduate and graduate CMD students with officers elected from the membership annually. Annual dues are reasonable and are payable in the fall. URISSLHA plans meetings with programs of professional interest, participates in health fairs and recruiting programs, and sponsors student social gatherings. Dr. Bethany Milner is the URISSLHA chapter advisor. You can learn more about URISSLHA on the department website: www.uri.edu/hss/cmd. 8.2 The National Student Speech-Language-Hearing Association is an organization sponsored by ASHA and is open to all graduate students in CMD as well as undergraduates who may be interested. The annual membership fee entitles one to the ASHA professional journals (e.g., AJSLP, JSHR, The Asha Leader, NSSLHA Journal, etc.); provides special discounts at national conventions, and helps build up very important credits towards eventual certification fees and membership charges when the student graduates from the degree program at URI. It pays to have been a NSSLHA member! For information about renewing NSSLHA membership or joining for the first time, ask the URISSLHA faculty advisor, Dr. Bethany Milner or visit the NSSLHA website: www.nsslha.org. Upcoming URISSLHA meetings are announced on the CMD web site. 8.3 The Rhode Island Speech-Language-Hearing Association (RISHA) is the professional state organization serving speech-language pathologists and audiologists who work and/or live in Rhode Island. It is affiliated with the American Speech-Language-Hearing Association (ASHA) and provides regular meetings and an annual one or two day conference, usually with noted authorities on key topics of clinical interest. RISHA also generally awards a student scholarship each year to a graduate student at the University of Rhode Island. Student membership in RISHA is a very attractive offering. Rates are far below those for regular professional membership. For information concerning the next RISHA meeting and student membership fees, go to the RISHA website: www.risha.info 49
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